Re: formula prep

[Guest guest]

It's my impression that most parents use cold tap water and warm to body temp or less for baby's comfort. I wonder what the formula websites have listed for "safe" prep instructions?Sent from my iPhone

Friends,

Can you share with me how the clients you work with are preparing infant formula if it's necessary to use of course? I'm seriously questioning how many consumers actually prepare powdered infant formula according to the WHO instructions of heating to a boil and then cooling water to no less than 158 degrees farenheit (70 celsius).....I know of pediatricians who tell parents they can use tap water! Can you tell me about the bottle warmers...do they heat to a boil and then cool...and I know of parents who mix the formula and then heat in the bottle warmer...not heat the water in the warmer and then add the powder......

Can you share?

Thanks,

[Guest guest]

Hello, .

While I would love it if all parents of young babies would bring liquid (condensed or ready-to-feed) to my office when they are supplementing, the fact is that most bring powdered. They bring bottled water and mix it right there. I have filtered water in my kitchen (office is in my home), so I always offer to get filtered water, since I know a lot of bottled water is simply tap water put in a bottle and nothing special about it at all! But there would be no time for me to boil formula as WHO specifies, wait for it to cool appropriately, etc. The best I can offer is the filtered water. I do sometimes suggest liquid formula, but it is more expensive and a lot of parents can't afford it. The mothers who are on WIC or public aid get coupons for the formula and I don't even think the coupons can be used for liquid formula. Again, I can suggest they follow better protocol at home, but when I've got a

screaming, hungry baby in my office and that baby has already been getting bottles of less-safely prepared formula at home anyway, I'm going to mix it without the boiling and feed it to him.

Dee Kassing

Friends,

Can you share with me how the clients you work with are preparing infant formula if it's necessary to use of course? I'm seriously questioning how many consumers actually prepare powdered infant formula according to the WHO instructions of heating to a boil and then cooling water to no less than 158 degrees farenheit (70 celsius).....I know of pediatricians who tell parents they can use tap water! Can you tell me about the bottle warmers...do they heat to a boil and then cool...and I know of parents who mix the formula and then heat in the bottle warmer...not heat the water in the warmer and then add the powder......

Can you share?

Thanks,

[Guest guest]

Thanks for sharing your practices Dee, I understand what you are juggling!

I'm curious about the instructions...if the bacteria is in the powdered

formula.....and the instructions are to boil the water and you can add the

powder after the boil and cool to 70C...are we boiling to eliminate bacteria in

the water as well?

What concerns me most I believe is that we really don't have guidelines in place

that are feasible for many people to adhere to....what else to do?

And how about those bottle warmers....anyone have information about how they

work...are they heating to a boil and cooling? I don't believe so...but I don't

have a ton of experience with them....anyone?

Thanks,

 

>

>

>

>

>

>

> Friends,

>

>

> Can you share with me how the clients you work with are preparing infant

formula if it's necessary to use of course? I'm seriously questioning how many

consumers actually prepare powdered infant formula according to the WHO

instructions of heating to a boil and then cooling water to no less than 158

degrees farenheit (70 celsius).....I know of pediatricians who tell parents they

can use tap water! Can you tell me about the bottle warmers...do they heat to a

boil and then cool...and I know of parents who mix the formula and then heat in

the bottle warmer...not heat the water in the warmer and then add the

powder......

>

>

> Can you share?

>

>

> Thanks,

>

>

[Guest guest]

I do know that some bottle warmers will heat to boil and can even melt the plastic bottle (quite a mess) if people aren't paying attention. But other brands of bottle warmers pride themselves on keeping the food at a proper serving temperature and never letting it boil, so those wouldn't work for boiling the bottle.

I think we would have to suggest that parents boil the formula/water at home, then stick the bottle on ice until serving time. Can you just imagine how long it will take that bottle to cool down to a **safe** serving temperature after boiling? And all the while, the baby is probably crying because he's the type to wake up from a nap and start yelling, like my kids did. (Of course, breast was always ready and correct temp!)

While I think that describing these drawn-out safety procedures can help some mothers choose breast over formula if the describing happens in a prenatal class, boy are we sure adding to mother's stress when we are requiring all this to keep her baby safe if she chose breastfeeding but it's not working well! I am sure that many mothers are feeling quite trapped: spending so much time trying to make breastfeeding work while taking care of the baby and herself and maybe other kids too, and by the way, spend all this time on making sure the formula is safe because manufacturers can't figure out how to do that. I can see how many would choose to get donor milk from women they may not know OR choose to just use formula so they have time to do the safey prep but can actually get a little sleep because they give up the breastfeeding, since there just isn't enough time in the day to do both.

Dee Kassing

Subject: Re: formula prepTo: Date: Wednesday, December 28, 2011, 1:51 PM

Thanks for sharing your practices Dee, I understand what you are juggling!I'm curious about the instructions...if the bacteria is in the powdered formula.....and the instructions are to boil the water and you can add the powder after the boil and cool to 70C...are we boiling to eliminate bacteria in the water as well?What concerns me most I believe is that we really don't have guidelines in place that are feasible for many people to adhere to....what else to do? And how about those bottle warmers....anyone have information about how they work...are they heating to a boil and cooling? I don't believe so...but I don't have a ton of experience with them....anyone?Thanks, > > > > > > > Friends, > > > Can you share with me how the clients you work with are preparing infant formula if it's necessary to use of course? I'm seriously questioning how many consumers actually prepare powdered infant formula according to the WHO instructions of heating to a boil and then cooling water to no less than 158 degrees farenheit (70 celsius).....I know of pediatricians who tell parents they can use tap water! Can you tell me about the bottle warmers...do they heat to a boil and then cool...and I

know of parents who mix the formula and then heat in the bottle warmer...not heat the water in the warmer and then add the powder......> > > Can you share?> > > Thanks,> >

[Guest guest]

I'd love to know how many moms are taught anything at all about preparing formula and storing it safely. Not to mention how to bottle feed safely. How many moms do you see in the mall with the same old bottle that the babies are using hour after hour? If we spent as much time teaching the formula feeding moms how to mix & feed safely no infant feeding specialist would ever lack for a job.Jan -- Sent from my iPad

Friends,

Can you share with me how the clients you work with are preparing infant formula if it's necessary to use of course? I'm seriously questioning how many consumers actually prepare powdered infant formula according to the WHO instructions of heating to a boil and then cooling water to no less than 158 degrees farenheit (70 celsius).....I know of pediatricians who tell parents they can use tap water! Can you tell me about the bottle warmers...do they heat to a boil and then cool...and I know of parents who mix the formula and then heat in the bottle warmer...not heat the water in the warmer and then add the powder......

Can you share?

Thanks,

[Guest guest]

One recommendation is that all formula be mixed with distilled water so as to not add to the minerals in the formula which are presumably at the correct levels already. Distiller water is cheap and safer than tap or bottled or even filtered water.Jan -- Sent from my iPad

Hello, .

While I would love it if all parents of young babies would bring liquid (condensed or ready-to-feed) to my office when they are supplementing, the fact is that most bring powdered. They bring bottled water and mix it right there. I have filtered water in my kitchen (office is in my home), so I always offer to get filtered water, since I know a lot of bottled water is simply tap water put in a bottle and nothing special about it at all! But there would be no time for me to boil formula as WHO specifies, wait for it to cool appropriately, etc. The best I can offer is the filtered water. I do sometimes suggest liquid formula, but it is more expensive and a lot of parents can't afford it. The mothers who are on WIC or public aid get coupons for the formula and I don't even think the coupons can be used for liquid formula. Again, I can suggest they follow better protocol at home, but when I've got a

screaming, hungry baby in my office and that baby has already been getting bottles of less-safely prepared formula at home anyway, I'm going to mix it without the boiling and feed it to him.

Dee Kassing

Friends,

Can you share with me how the clients you work with are preparing infant formula if it's necessary to use of course? I'm seriously questioning how many consumers actually prepare powdered infant formula according to the WHO instructions of heating to a boil and then cooling water to no less than 158 degrees farenheit (70 celsius).....I know of pediatricians who tell parents they can use tap water! Can you tell me about the bottle warmers...do they heat to a boil and then cool...and I know of parents who mix the formula and then heat in the bottle warmer...not heat the water in the warmer and then add the powder......

Can you share?

Thanks,

[Guest guest]

Dear Colleagues:

When the risk of improperly prepared powdered infant formula is death, it is

worth it to prepare it safely.

I am so skeptical of the spin put on these recent episodes: cronobacter is one

of the 2 germs that have been found in infant formula for the past decade; the

other is salmonella. Yet the companies are saying, " Oh no, not us. " Of course.

Yes it takes time to prepare bottles safely. The point of learning the correct

way to prepare formula is to prevent the risk of death, NOT to discourage

mothers from using the product. (Although it is certainly easier to breastfeed.)

Another way to use warm enough water (besides a thermometer) is to boil the

water and have it sitting out for half an hour; then the temperature will drop

down to about 158 F/ 70 C.

But then that runs smack into the recommendation that water NOT be boiled,

because it concentrates the contaminants, such as lead, that are often in the

pipes of old houses.

Makes my head ache.

warmly,

Nikki Lee

>

> > Friends,

> >

> >

> > Can you share with me how the clients you work with are preparing infant

formula if it's necessary to use of course? I'm seriously questioning how many

consumers actually prepare powdered infant formula according to the WHO

instructions of heating to a boil and then cooling water to no less than 158

degrees farenheit (70 celsius).....I know of pediatricians who tell parents they

can use tap water! Can you tell me about the bottle warmers...do they heat to a

boil and then cool...and I know of parents who mix the formula and then heat in

the bottle warmer...not heat the water in the warmer and then add the

powder......

> >

> > Can you share?

> >

> > Thanks,

> >

> >

>

[Guest guest]

The recommendation is to bring it to a boil, then turn it off. Not "boil" for x number of minutes. Back in the day, you had to boil for 20 minutes, then it was down to 5, then 1 then just bring to a boil....

I totally agree with Nikki though about making it safe for babies. Though I tell you, by the time you get done with the proper formula prep (which docs don't like because it makes formula feeding *too hard* -- heard from more than one pediatrician), it is so much easier to breastfeed....SO MUCH EASIER!!

Heck, even with IMPROPER prep of formula it is easier to breastfeed.

Jan

But then that runs smack into the recommendation that water NOT be boiled, because it concentrates the contaminants, such as lead, that are often in the pipes of old houses.

[Guest guest]

Nearly every pp client I see who is supplementing is using pif with warm tap water.  Needless to say, I let them know about using liquid for the first four weeks or so and send the link to the WHO pamphlet on safe preparation of the powder.  And they all ask, " If it isn't safe, why is there powder in my free tote bag?? "

Lynn in MO

[Guest guest]

I have been bringing this topic up in WIC lately. We aren't discussing this with

our moms and no one really knows how to safely prepare this stuff.

Thurber, IBCLC

WIC PC, Wisconsin

[Guest guest]

So if moms for that special water they sell, to be used, to prepare formula.

Then do they still have to boil it?

Elaine Rose, IBCLC, LLL

Minnesota

>

> I have been bringing this topic up in WIC lately. We aren't discussing this

with our moms and no one really knows how to safely prepare this stuff.

>

> Thurber, IBCLC

> WIC PC, Wisconsin

>

[Guest guest]

When I have parents who need to use formula I ALWAYS instruct them on how to prepare safely – boil the water, prep the formula IN the hot water, then chill until ready to use. I suggest that if they actually prep as much as they may need in the next 24 hours so they are ahead of the game. Much easier to prep one batch for the day than prep several times… When I go through the whole ‘spiel’ of WHY they MUST prep it this way (to protect their baby’s life) they get that look of “Holy Cow! That’s a LOT of work!” Then I suggest ready to feed or condensed – pricier, but MUCH safer. I also tell them to save LOT numbers on ALL cans – just in case of a recall. Dee – I too have been in your situation where the baby is screaming and using warm tap water (or filtered) is the best we can do. It always leaves me uncomfortable – but sometimes you have to do what you have to do. I just wish it were different. I personally believe that ALL Peds should be required to have a thorough breastfeeding education class (what a breastfed baby looks like, grows like, what is normal and what isn’t) as well as a formal class on formula feeding. They spend so much time talking to parents about things that are frankly none of their damn business (CIO, making the baby sleep longer, parenting…etc – don’t get me started on the local Ped who gave unbelievable info to one of my parents this week – OY!!) but they spend NO time educating on safe, proper and NORMAL feeding and weight gain. OK – maybe some do – but not in my area…not that I know about. Just my thoughts… JWarmly,Jaye Jaye Simpson, CLC, IBCLC, CIIM, MoMBreastfeeding Networkwww.breastfeedingnetwork.net

[Guest guest]

" Nursery water " has fluoride in it, and I'm not sure whether the water is purified.  " Distilled water " is nothing but H2O and should be okay without boiling if you trust the source.

 

So if moms for that special water they sell, to be used, to prepare formula.

Then do they still have to boil it?

Elaine Rose, IBCLC, LLL

Minnesota

>

> I have been bringing this topic up in WIC lately. We aren't discussing this with our moms and no one really knows how to safely prepare this stuff.

>

> Thurber, IBCLC

> WIC PC, Wisconsin

>

[Guest guest]

My peer counselors know it!

>

> I have been bringing this topic up in WIC lately. We aren't discussing this

with our moms and no one really knows how to safely prepare this stuff.

>

> Thurber, IBCLC

> WIC PC, Wisconsin

>

[Guest guest]

The crazies come from everywhere!

It drives me insane that WIC does not use the growth charts for breastfed

infants! I posted about this about a year ago...I ended up feeling very defeated

as it didn't really appear to concern anyone that our country's largest

distributor of formula, and a business that touches the lives of over 1/3 of our

newborn population, if not more, uses an inappropriate clinical assessment tool.

When I discussed this with the state rep she said to me, '....well it's a large

organization...and change takes time...' and I asked her how she felt about the

use of a flawed growth assessment tool, and the fact that WIC is presumably in

the business of monitoring healthy growth? Essentially all WIC infants are being

compared to the growth chart of a formula fed baby....this wasn't compelling...I

said give me 10 minutes and I'll have the new, correct charts in every clinic

room in this office.....

The PC curriculum I used had a flier on the back from the state of CA that

described normal growth as 3 ounces a week! When I commented on this my contact

says again how it's difficult to find consistent resources....

It's a cluster...

>

>

>

> When I have parents who need to use formula I ALWAYS instruct them on how to

> prepare safely - boil the water, prep the formula IN the hot water, then

> chill until ready to use. I suggest that if they actually prep as much as

> they may need in the next 24 hours so they are ahead of the game. Much

> easier to prep one batch for the day than prep several times. When I go

> through the whole 'spiel' of WHY they MUST prep it this way (to protect

> their baby's life) they get that look of " Holy Cow! That's a LOT of work! "

> Then I suggest ready to feed or condensed - pricier, but MUCH safer. I also

> tell them to save LOT numbers on ALL cans - just in case of a recall.

>

>

>

> Dee - I too have been in your situation where the baby is screaming and

> using warm tap water (or filtered) is the best we can do. It always leaves

> me uncomfortable - but sometimes you have to do what you have to do. I just

> wish it were different.

>

>

>

> I personally believe that ALL Peds should be required to have a thorough

> breastfeeding education class (what a breastfed baby looks like, grows like,

> what is normal and what isn't) as well as a formal class on formula feeding.

> They spend so much time talking to parents about things that are frankly

> none of their damn business (CIO, making the baby sleep longer,

> parenting.etc - don't get me started on the local Ped who gave unbelievable

> info to one of my parents this week - OY!!) but they spend NO time educating

> on safe, proper and NORMAL feeding and weight gain. OK - maybe some do -

> but not in my area.not that I know about.

>

>

>

> Just my thoughts. J

>

> Warmly,

>

> Jaye

>

>

>

> Jaye Simpson, CLC, IBCLC, CIIM, MoM

>

> Breastfeeding Network

>

> www.breastfeedingnetwork.net

>

[Guest guest]

The lactation consultants at the hospital where one of my colleagues works spend as much time with the formula feeding mothers teaching them about safe preparation, storing, and feeding formula as they do with the breastfeeding mothers.

And when the moms are using concentrate they need to mix with distilled water so as not to add to the mineral content of the formula.

Jan

When I have parents who need to use formula I ALWAYS instruct them on how to prepare safely – boil the water, prep the formula IN the hot water, then chill until ready to use. I suggest that if they actually prep as much as they may need in the next 24 hours so they are ahead of the game. Much easier to prep one batch for the day than prep several times… When I go through the whole ‘spiel’ of WHY they MUST prep it this way (to protect their baby’s life) they get that look of “Holy Cow! That’s a LOT of work!†Then I suggest ready to feed or condensed – pricier, but MUCH safer. I also tell them to save LOT numbers on ALL cans – just i n case of a recall.

Dee – I too have been in your situation where the baby is screaming and using warm tap water (or filtered) is the best we can do. It always leaves me uncomfortable – but sometimes you have to do what you have to do. I just wish it were different.

I personally believe that ALL Peds should be required to have a thorough breastfeeding education class (what a breastfed baby looks like, grows like, what is normal and what isn’t) as well as a formal class on formula feeding. They spend so much time talking to parents about things that are frankly none of their damn business (CIO, mak ing the baby sleep longer, parenting…etc – don’t get me started on the local Ped who gave unbelievable info to one of my parents this week – OY!!) but they spend NO time educating on safe, proper and NORMAL feeding and weight gain. OK – maybe some do – but not in my area…not that I know about.

Just my thoughts… JWarmly,

Jaye

Jaye Simpson, CLC, IBCLC, CIIM, MoM

Breastfeeding Network

www.breastfeedingnetwork.net

[Guest guest]

It isn't special water, it's distilled water which you put in your iron (for those who still do that). If they buy it in gallon jugs, it won't take long to go through a gallon, and they don't have to boil it if they are using concentrate (which is sterile). If they are using powdered formula, yes, because it has to be hot enough to kill the bacteria in the powder, but not so hot as to destroy the proteins in the formula.

Crazy-making, no?

Jan

So if moms for that special water they sell, to be used, to prepare formula. Then do they still have to boil it? Elaine Rose, IBCLC, LLLMinnesota >> I have been bringing this topic up in WIC lately. We aren't discussing this with our moms and no one really knows how to safely prepare this stuff. > > Thurber, IBCLC> WIC PC, Wisconsin>

[Guest guest]

I am looking at a can right now... " Ask you baby's doctor about infant formula

feeding including how much to feed and the need to sterilize (boil) water.. " It

then says, " Warming formula above, or using water warmer than 100 degrees F will

compromise the benefits of the BIFIDUS BL cultures. "

~Not that I expected anything more.

Thurber, IBCLC

WIC PC, Wisconsin

[Guest guest]

At Our Wic clinic, we teach a formula prep class- I don't but the dieticians do. We also just had a report from state Wic that the WHO growth charts will be available in the Wic computer systems soon!!

Liz

Subject: Re: formula prepTo: Date: Thursday, December 29, 2011, 5:24 PM

The crazies come from everywhere!It drives me insane that WIC does not use the growth charts for breastfed infants! I posted about this about a year ago...I ended up feeling very defeated as it didn't really appear to concern anyone that our country's largest distributor of formula, and a business that touches the lives of over 1/3 of our newborn population, if not more, uses an inappropriate clinical assessment tool.When I discussed this with the state rep she said to me, '....well it's a large organization...and change takes time...' and I asked her how she felt about the use of a flawed growth assessment tool, and the fact that WIC is presumably in the business of monitoring healthy growth? Essentially all WIC infants are being compared to the growth chart of a formula fed baby....this wasn't compelling...I said give me 10 minutes and I'll have the new, correct charts in every clinic room in this office.....The PC

curriculum I used had a flier on the back from the state of CA that described normal growth as 3 ounces a week! When I commented on this my contact says again how it's difficult to find consistent resources....It's a cluster...>> > > When I have parents who need to use formula I ALWAYS instruct them on how to> prepare safely - boil the water, prep the formula IN the hot water, then> chill until ready to use. I suggest that if they actually prep as much as> they may need in the next 24 hours so they are ahead of the game. Much> easier to prep one batch for the day than prep several times. When I go> through the whole 'spiel' of

WHY they MUST prep it this way (to protect> their baby's life) they get that look of "Holy Cow! That's a LOT of work!"> Then I suggest ready to feed or condensed - pricier, but MUCH safer. I also> tell them to save LOT numbers on ALL cans - just in case of a recall.> > > > Dee - I too have been in your situation where the baby is screaming and> using warm tap water (or filtered) is the best we can do. It always leaves> me uncomfortable - but sometimes you have to do what you have to do. I just> wish it were different. > > > > I personally believe that ALL Peds should be required to have a thorough> breastfeeding education class (what a breastfed baby looks like, grows like,> what is normal and what isn't) as well as a formal class on formula feeding.> They spend so much time talking to parents about things that are frankly> none

of their damn business (CIO, making the baby sleep longer,> parenting.etc - don't get me started on the local Ped who gave unbelievable> info to one of my parents this week - OY!!) but they spend NO time educating> on safe, proper and NORMAL feeding and weight gain. OK - maybe some do -> but not in my area.not that I know about.> > > > Just my thoughts. J> > Warmly,> > Jaye> > > > Jaye Simpson, CLC, IBCLC, CIIM, MoM> > Breastfeeding Network> > www.breastfeedingnetwork.net>

[Guest guest]

Jan does this prevent that discoloration of the steam from your iron???

Seriously the amazing things I learn from you all!!

> >

> > I have been bringing this topic up in WIC lately. We aren't discussing

> this with our moms and no one really knows how to safely prepare this stuff.

> >

> > Thurber, IBCLC

> > WIC PC, Wisconsin

> >

>

[Guest guest]

Yes, because there are no minerals in the water, it prevents the mineral buildup that get on all the little holes in the iron.

I used to iron. Many years ago. The only reason I know that.

Jan

Jan does this prevent that discoloration of the steam from your iron???Seriously the amazing things I learn from you all!!> >> > I have been bringing this topic up in WIC lately. We aren't discussing > this with our moms and no one really knows how to safely prepare this stuff. > > > > Thurber, IBCLC> > WIC PC, Wisconsin> >>

[Guest guest]

It's not about the water - it's about the formula. The boiled water kills

bacteria in the formula (we hope). The National Health Service gives these

instructions:

http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalass\

et/dh_124526.pdf

" If water is boiled and put into the sterilised feeding bottles can it be stored

in the fridge like this until the powder is added?

No, the water must be above 70° C (158 degrees F) when the powder is added

otherwise the bacteria in the powder will not be killed. "

This info is at the FDA page - but of course, not on a can! and how many people

read the FDA instructions. Sigh.

> > >

> > > I have been bringing this topic up in WIC lately. We aren't discussing

> > this with our moms and no one really knows how to safely prepare this

> > stuff.

> > >

> > > Thurber, IBCLC

> > > WIC PC, Wisconsin

> > >

> >

> >

> >

>

[Guest guest]

Could this be a project for local and statewide breastfeeding coalitions to handle?Start with a survey; 1- with moms that already formula fed A- how did you prepare your formula B- did you ever have instructions? If yes, by who? C- why did you decide not to bf? 2- Moms that started bf that switched A- why did you quit bf B- did anyone go over the risks of formula feeding? C/ did anyone demo mixing instructions? If so who and how 3- pregnant women that choose to breastfeed A- why did you decide to bf? B- what have you heard about formula? C- how often do you think you need to bf your child? D- if you decide to quit bfing what will be your next step? Or something like that..,.these are just 6:30am roll out of bed ideas...Thoughts? RDH, BS, IBCLCMinnesota Sent from my iPhone

It's not about the water - it's about the formula. The boiled water kills bacteria in the formula (we hope). The National Health Service gives these instructions:

http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_124526.pdf

"If water is boiled and put into the sterilised feeding bottles can it be stored in the fridge like this until the powder is added?

No, the water must be above 70° C (158 degrees F) when the powder is added otherwise the bacteria in the powder will not be killed."

This info is at the FDA page - but of course, not on a can! and how many people read the FDA instructions. Sigh.

> > >

> > > I have been bringing this topic up in WIC lately. We aren't discussing

> > this with our moms and no one really knows how to safely prepare this

> > stuff.

> > >

> > > Thurber, IBCLC

> > > WIC PC, Wisconsin

> > >

> >

> >

> >

>

[Guest guest]

158F is *not* boiling  The boiling would kill anything in the water, and then cooling to 158F leaves it hot enough to kill the germs in the formula without cooking it.  So a mom using distilled water should *not* need to boil it--she just needs to get it up to 158F.

 (I know that water can be pasteurized in a solar cooker at temps significantly below boiling--149F.  My guess is that telling a mom to boil it is mostly because she can tell it's boiling without a thermometer.  Which is a bit silly if she needs a thermometer to tell her when it gets down to 158F.)

 Lynn in MO

It's not about the water - it's about the formula. The boiled water kills bacteria in the formula (we hope). The National Health Service gives these instructions:

http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_124526.pdf

" If water is boiled and put into the sterilised feeding bottles can it be stored in the fridge like this until the powder is added?

No, the water must be above 70° C (158 degrees F) when the powder is added otherwise the bacteria in the powder will not be killed. "

This info is at the FDA page - but of course, not on a can! and how many people read the FDA instructions. Sigh.

> > >

> > > I have been bringing this topic up in WIC lately. We aren't discussing

> > this with our moms and no one really knows how to safely prepare this

> > stuff.

> > >

> > > Thurber, IBCLC

> > > WIC PC, Wisconsin

> > >

> >

> >

> >

>

[Guest guest]

Does anyone have a clear, simple (ha ha) mom-friendly one-page sheet that summarizes what has been discussed on this thread wrt prepping formula (RTF, concentrate, and pif)? LLLL IBCLC Los Angeles